Organization
MFSB, INC.
Active
Other names
Willow Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN JOYCE PATTERSON (OWNER)
(936) 443-8528
Entity
Organization
Contact information
Practice address
2102 N MAIN ST, SUITE B, HOUSTON, TX 77009-8024
(713) 677-0501
(713) 677-0666
Mailing address
5922 BEECH DR, MONTGOMERY, TX 77316-2735
(936) 443-8528
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
27008
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5900623
NCPDP
TX
Enumeration date
07/09/2010
Last updated
04/12/2011
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